N’chifukwa chiyani amayi apakati ndi omwe abereka ayenera kusamala ndi kusintha kwa magazi m’thupi? Gawo Loyamba


Wolemba: Succeeder   

Chifukwa cha imfa ya mayi wapakati pambuyo pa kutuluka magazi apakati, amniotic fluid embolism, pulmonary embolism, thrombosis, thrombocytopenia, matenda a puerperidal chili m'gulu la asanu apamwamba. Kuzindikira ntchito ya amayi yotseka magazi kungalepheretse bwino maziko asayansi a DIC yoopsa komanso matenda a thrombosis omwe amayamba chifukwa cha kutuluka magazi pambuyo pobereka panthawi yobereka.

1. Kutuluka magazi pambuyo pa kubereka
Kutuluka magazi pambuyo pa kubereka ndi chimodzi mwa zifukwa zazikulu zomwe zimayambitsa mavuto a kubereka pakadali pano komanso zomwe zimayambitsa imfa ya amayi apakati, ndipo kuchuluka kwa matendawa kumafikira 2%-3% ya chiwerengero chonse cha kubereka. Zomwe zimayambitsa kutuluka magazi pambuyo pa kubereka ndi kufupika kwa mafuta, zinthu zomwe zimayambitsa placenta, kusweka kofewa kwa kusweka kwa magazi komanso kusagwirizana kwa magazi. Pakati pa izi, kutuluka magazi komwe kumachitika chifukwa cha kusagwirizana kwa magazi nthawi zambiri kumakhala kutuluka magazi ambiri komwe kumakhala kovuta kulamulira. Essence PT, APTT, TT, ndi FIB ndi mayeso odziwika bwino omwe amagwiritsidwa ntchito kwambiri mu plasma coagulation factor.

2. Matenda a Thromic
Chifukwa cha makhalidwe apadera a thupi la amayi apakati, magazi amakhala ogwirizana kwambiri ndipo magazi amayenda pang'onopang'ono. Chiwerengero cha amayi apakati okalamba komanso omwe ali pachiwopsezo chachikulu chimawonjezeka. Chiwopsezo cha amayi apakati omwe ali ndi thrombosis ndi kuwirikiza kanayi mpaka kasanu kuposa cha amayi omwe alibe pakati. Matenda a thrombosis makamaka ndi thrombosis ya m'mitsempha yakuya m'miyendo yapansi. Imfa ya pulmonary embolism yomwe imayamba chifukwa cha thrombosis ndi yokwera kufika pa 30%. Yaika pachiwopsezo chitetezo cha amayi apakati, kotero ndikofunikira kwambiri kuti adziwe msanga ndikuchiza thrombosis ya m'mitsempha. Makamaka opaleshoni ya cesarean ya magazi otuluka magazi pambuyo pobereka kapena matenda, kapena odwala omwe ali ndi odwala monga kunenepa kwambiri, kuthamanga kwa magazi, matenda a autoimmune, matenda a mtima, matenda a sickle cell, mimba yambiri, mavuto asanafike nthawi kapena mavuto obereka. Chiwopsezo cha thrombosis ya m'mitsempha chimawonjezeka kwambiri.